Vcp 2 Louisiana Professional Corporation
NPI 1679396907ActiveOrganization· Surgery· Lake Charles, LA
Surgery in Lake Charles, Louisiana, registered in NPPES in November 2024. The authorized official on file is Jewell Halliburton, Regional Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679396907 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 5, 2024 |
| Last updated in NPPES | Feb 4, 2025 |
| Certified by provider | Feb 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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